Sadhana Gupta, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

214772 Issued in NY

Practice address

11506 Beach Channel Dr
Suite 1
Rockaway Park, NY 11694-2206

Phone

(718) 474-7744

Fax

(718) 474-7755

NPI assigned

Oct 17, 2006

Last updated

Sep 25, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Peninsula Medical Care PLLCGroup PAC ID 5698934446, 8 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peninsula Medical Care PLLC

  dba bayview urgent care

  • Urgent Care Clinic/Center
  • Rockaway Park, NY
  • NPI 1851663926
  Medicare reassignment Care Compare group Authorized official
• Adept Inpatient Medical Services, PC

  dba Oceanside Urgent Care

  • Specialist
  • Oceanside, NY
  • NPI 1821249657
  Medicare reassignment NPD
• Essen Medical Associates, PC

  • Legal Medicine
  • Bronx, NY
  • NPI 1366418709
  Medicare reassignment NPD
• Essen Medical Urgicare, PLLC

  dba Metro Urgicare

  • Urgent Care Clinic/Center
  • Bronx, NY
  • NPI 1841607298
  Medicare reassignment NPD
• Essen Medical Associates, PC

  • Podiatrist
  • Bronx, NY
  • NPI 1720799158
  NPD
• Good Will Medical, P.C.

  • Family Medicine Physician
  • Far Rockaway, NY
  • NPI 1245340207
  NPD (past)
• Good Will Medical, P.C.

  • Internal Medicine Physician
  • Melville, NY
  • NPI 1841442357
  NPD (past)
• Peninsula Medical Services PC

  • Pediatric Orthopaedic Surgery Physician
  • Far Rockaway, NY
  • NPI 1609095280

  Family Medicine

  NPD (past)
• Throggs Neck Walk in Medical Care

  • Preferred Provider Organization
  • Bronx, NY
  • NPI 1134137573
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1396826467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11506 BEACH CHANNEL DR",
            "address_2": "SUITE 1",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942206",
            "telephone_number": "718-474-7744",
            "fax_number": "718-474-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11506 BEACH CHANNEL DR",
            "address_2": "SUITE 1",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942206",
            "telephone_number": "718-474-7744",
            "fax_number": "718-474-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "SADHANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "214772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Glod, PTA
• Estrella Frances Morillo Glover
• Dmitry Goldfeld, RPH
• Keisha M Goldsmith
• Lisamarie Guidice, DPM
• Matthew Joel Guy, MD
• Harbor Optics Inc
• Juliet Valentina Hawkins, MA
• Toni Lyn Healy
• Mary Lou Heym, R.N.

• Family Medicine Physician in Rockaway Park, NY
• Providers in Rockaway Park, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.